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Laparoscopic incisional hernia repair is feasible and safe after liver transplantation

Kurmann, Anita ; Beldi, Guido ; Vorburger, Stephan ; Seiler, Christian ; Candinas, Daniel

In: Surgical Endoscopy, 2010, vol. 24, no. 6, p. 1451-1455

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    Titel
    • Laparoscopic incisional hernia repair is feasible and safe after liver transplantation
    Autor
    • Kurmann, Anita. Department of Visceral Surgery and Medicine, Inselspital University Hospital Bern and University Bern, CH-3010, Bern, Switzerland
    • Beldi, Guido. Department of Visceral Surgery and Medicine, Inselspital University Hospital Bern and University Bern, CH-3010, Bern, Switzerland
    • Vorburger, Stephan. Department of Visceral Surgery and Medicine, Inselspital University Hospital Bern and University Bern, CH-3010, Bern, Switzerland
    • Seiler, Christian. Department of Visceral Surgery and Medicine, Inselspital University Hospital Bern and University Bern, CH-3010, Bern, Switzerland
    • Candinas, Daniel. Department of Visceral Surgery and Medicine, Inselspital University Hospital Bern and University Bern, CH-3010, Bern, Switzerland
    Dokumententyp
    • Postprint
    Sprache
    • Englisch
    Veröffentlicht in
    • Surgical Endoscopy, 2010, vol. 24, no. 6, p. 1451-1455. Springer-Verlag
    Andere elektronische Ausgabe
    OAI-PMH-ID
    • oai:doc.rero.ch:320769
    Summary
    Background: Incisional hernia is a common complication after liver transplantation. The current study evaluated incidence and risk factors for incisional hernia and compared laparoscopic and open hernia repair in terms of feasibility and outcome. Methods: A cohort of 225 patients was prospectively investigated. The median follow-up period was 61months (range, 6-186months). The study cohort had 31 patients who underwent open repair and 13 who underwent laparoscopic repair. Results: Incisional hernia, found in 57 patients (25%), had occurred after a median of 17months (range, 5-138months). The significant risk factors were male gender (p = 0.001) and body mass index (BMI) greater than 25kg/m2 (p = 0.002). A trend toward a lower recurrence rate (15% vs 35%; p = 0.28) and fewer surgical complications (15% vs 19%; p = 0.99) was found in the laparoscopic group. Conclusions: Incisional hernia is a frequent complication after liver transplantation. Associated risk factors are male gender and a BMI greater than 25kg/m2. Laparoscopic hernia repair for such patients is feasible and safe